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17A-245 (11) BP 022-1218 86 LAKE ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: I7A-245-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2022-1218 PERMISSION IS HEREBY GRANTED TO: Project# SUNROOM/DECK Contractor: License: Est. Cost: 38500 Const.Class: Exp.Date: Use Group: Owner: LEMESHOW, STEVEN & ENGEL, HANNA Lot Size (sq.ft.) Zoning: URB Applicant: LEMESHOW, STEVEN & ENGEL, HANNA Applicant Address Phone: Insurance: 86 LAKE ST FLORENCE, MA 01062 ISSUED ON:09/29/2022 TO PERFORM THE FOLLOWING WORK: SUNROOM AND DECK POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: .>2 - 3)11. . if b Fees Paid: $250.00 212 Main Street, .Phone(413)587-1240,Fax:(413)587-1272 Office of the Buildine Commissioner v f - RECEIVED s, The Commonwealth of Massachusetts Board of Building Regulations and St4lndar R -UN ALITY Massachusetts State Building Code, 7*0 C SEP 2 6 2022 SE Building Permit Application To Construct,Repair, Rjenov to Or Demolish a Revise Mar 2011 One-or Two-Family Dwelling DFPT.°F uuu_�m r iN�aF� iy,-g This For Official Use Only — AM7Torv,nna��oso Building Permit Number: i�I'— Q '/A/ Date Ap lied: )Netki •,_ L.iG' citaroma Building Official(Print Name) _ Signature ' Dafe i SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 84 Laka S, /7 025- 311S abto l.la Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: QVAID Rts ,1 Ur,9qA S2.5 Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 10,ck 114 I5 f4 ►E } 204.4 125 4-Ir 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: Outside Flood Zone? Public Er Private 0 Check if yes[$ Municipal IBKOn site disposal system ❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: , 4364111QA 1 eonesVok,) Noc-040.w ,n Mph O\Ov2 Name(Print) City,State,ZIP 64 L,aK( y%s-WA-1q S4e.4eh1eiNestv.7,.�@5,w,;►�.(AAA No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 ,Alteration(s) 0 Addition [iv Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work': g�.:�atet w Swnymwndte.Y.. F..1�u .�s�.L 0,^o0 Vte o*a I c oo\t . SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 35oeo 1. Building Permit Fee: $ Indicate how fee is determined: 0 Standard City/Town Application Fee 2.Electrical $ 1000 0 Total Project Costa(Item 6)x multiplier x 3.Plumbing $ 0 2. Other Fees: $ 4.Mechanical (HVAC) $ (rjQO List: 5. Mechanical (Fire Suppression) $ 1000 Total All Fees: $ ('I �t C eck No. I 021 Check Amount: QA7 6.Total Project Cost: $ S00 3g, Paid in Full 0 Outstanding Balance Due: City of Northampton Massachusetts a.. 't tcd 0- DEPARTMENT OF BUILDING INSPECTIONS �` V10" 212 Main Street • Municipal Building 9� C0 Northampton, MA 01060 �SN� ‘1� PROCEDURE FOR OBTAINING A BUILDING PERMIT FOR WINDOWS, DOORS,ROOFS,RENOVATIONS,ROOF MOUNTED SOLAR, ETC. 1. Building Permit Application signed by legal owner and filled out by owner or authorized agent. 2. One set of plans and specifications of proposed work(Digital and hard copy). 3. Construction Debris Affidavit filled out and signed by applicant. 4. Worker's Compensation Insurance Affidavit filled out and signed by applicant. 5. Contractors must supply a copy CSL, HIC, and proof of Liability Insurance. 6. Energy Conservation Compliance Certificate(new/replacement windows). 7. Home owner's License Exemption Form (if applicable). 8. Note any Special Permit requirements (if applicable). 9. Energy Code—all new construction (Gut/Rehab) requires a HERS Rater Affidavit 10. Please provide the appropriate fee in the form of a check made payable to: The City of Northampton. r I SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) License Number Expiration Date Name of CSL Holder List CSL Type(see below) No.and Street Type Description U Unrestricted(Buildings up to 3 ,000 cu.ft.) City/Town,State,ZIP R Restricted 1&2 Family Dwelli g M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) • HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name No.and Street Email address City/Town,State,ZIP Telephone SECTION 6:WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes 0 No 0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize to act on my behalf,in all matters relative to work authorized by this building permit application. Print Owner's Name(Electronic Signature) Date SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is trueand accurate to the best of my knowledge and understanding. V. nt wner s or Authorized Agent's Name(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A. Other important,information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: - Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" The Commonwealth of Massachusetts Department of Industrial Accidents • ,._ - , Congress Street,Suite 100 .`{: I Boston. ,1IA 02114-2017 7YH wws mass.j+,or/dia 11urkers' ('ompensation Insurance Al'fidasit: Builder*'(-ontractors Electricians Plumbers. 1t) HI. I.71.4:0 V.I I'II I Ill: I'f.K%tI f31M:AI tDorn I' . Applicant information Please Print hi, Name us miss,UrganLL..,ucm lade% duaII: a\flaQ(..,V\ keN Address: Co Loom- S-- Cit' State:Zip: WO ( uv•.t o I\ I11 0‘Olo2Phone : y�3 " bt5q" 1AO9_ -- .kre sou an empIo;t r'('peek the appropriate hot: Type of project (required): 1.0 1 am a employe,with cnipiuyeea(full anctor part-tiinel.• 7. CI Ness construction 2.1 am a sole proprietor or partnership and have nu employee%wutking fur me in K. a Remodeling any capacity.[Nu workers'comp.insurance required] 9. ❑ Demolition 30 1 am a hutricow nrr doing all work myself.[No warkcra'comp.insurance required.) d.) �/ 10�uilding addition 4.©1 am a homeowner and*ill be hiring ewntractursto cunduct all work on my proh,crty. I will ensure that all contractors eerier ha%c workers'compensation insurance or an sole I i.0 Electrical repairs or additions prupneton w ith no employees 12.0 Plumbing repairs or additions S�1 am a general contractor and I has a hind the sub-cuntrm:tun listed cn the attached sheet_ These sob-contractors laasc cmployecs and have workers'comp. insurance. 13❑Roof repairs h.❑K r are a corporation and its ofiieers have cxerriaed their right of exemption per Witc. 14.❑Other 152.Q 11.11.and we hasc no anpluyces.[No workers'sump.insurance requtn:d_J 'Any applicant that checks box ul mint also till out tier section below show ing their workers'compensation policy information. ,4 $Homeowners who submit this atliclasit indicating they are doing all work and then hoc outside contractors must aubnut a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees If the sub-contractors ha%c omiusecs.they must pros idc their ssurkcn-crap.policy number I ant an employer that is providing worAers'c'otnpensation insurance for my employee's. Below is the poll) and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City,State Zip: __ Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MiGL c. 152. {25A is a criminal violation punishable by a fine up to S I.500.00 andlor one-year imprisonment,as well as cis it penalties in the form of a STOP WORK ORDER and a tine of up to S250.00 a day against the violator. A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage ti erttication. I do hereby certify under the pains and penalties of perjury that the in formation provided above is true and correct. i„. ignatu : Date: Phone Dificirr/use only. Do not write in this area.to be completed h eitr or town official ( its or I own: Pcrmit:'I.icense Issuing Authority (circle one): I. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other H ('ontact Person: Phone#: . { ;"74_ 44.\ City of Northampton r Massachusetts �x. <'< ,f it * V 3 - DEPARTMENT OF BUILDING INSPECTIONS � ,x 212 Main Street • Municipal Building SJ` a� -.14 ) Northampton, MA 01060 s'1' 3i7��`�� CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: 1 Location of Facility: L oc.1/4./..51- 5\-- ui` 7 cz 4 c, ,-,veN The debris will be transported by: Name of Hauler: Q,Jean Ud e-Shy Signature of Applicant: CC-61,Aligl---_ Date: 9 P44/2_2_ • City of Northampton oaYHA"' ro? h �5 Si, Massachusetts 4?s �'<<G `1-*: DEPARTMENT OF BUILDING INSPECTIONS ' ' '' ."r 212 Main Street • Municipal Building 0ti D� yam`: s O� Northampton, MA 01060 r� ArD% HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I, S 4CA 1..e1/44e S h0rJ 46 (insert full legal name), born g13°kinsert month, day, year), hereby depose and state the following: 1. I am seeking a building permit pursuant to the homeowners'exemption to the permit requirements of the Massachusetts State Building Code, codified at 780 CMR 110.R5.1.3.1, in connection with a project or work on a parcel of land to which I hold legal title. 2. I am not engaged in, and the project or work for which I am seeking the aforementioned homeowners' exemption, does not involve the field erection of manufactured buildings constructed in accordance with 780 CMR 110.R3. 3. I qualify under the State Building Code's definition of"homeowner"as defined at 780 CMR 110.R5.1.2: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one-or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a home owner. 4. I do not hold a valid Massachusetts construction supervision license and, except to the extent that I qualify for and will abide by the Massachusetts State Building Code's requirements for the supervision of the project or work on my parcel, I am not engaged in construction supervision in connection with any project or work involving construction, reconstruction, alteration, repair, removal or demolition involving any activity regulated by any provision of the Massachusetts State Building Code. 5. If I engage any other person or persons for hire in connection with the aforementioned project or work on my parcel, I acknowledge that I am required to and will act as the supervisor for said project or work. Signed under the pains and penalties of perjury on this IA day of 'rNi,c 4ttA '1 , 20 22. `it (Signa e) �yi lib . tJ V . f o-% r \--Ox \I7A to ...S- , .../c5\a... _____., _______ _. 0 1 , __ ____ __ _ __ _LI ___72,:a . , ,cp \e. ., _} \ _ __ . ---,<, - - -- — - -� li I N I 3 �fl n I ;a _f n *t 1' -NOTE- THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT TO BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED. BUILDING LOCATION ACCURACY IS NOT GUARANTEED. LOCATION OF FENCES ON OR NEAR BOUNDARY LINES IS NOT VERIFIED BY THIS INSPECTION. NOTE: 82.5' PROPERTY LINES SHOWN ARE APPROXIMATE, A FULL FIELD SURVEY IS REQUIRED TO BOOK 0996, ACCURATELY DETERMINE THEIR PAGE 178 LOCATION. garage. in 0 0 N ( N #86, LJ 82.5'± LAKE STREET TO: CONNECTICUT ATTORNEYS TITLE INSURANCE COMPANY TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES, EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR COMMUNITY #250167 -NOTE- SURVEYO THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY AND DOES NOT CONSTITUTE A PROPERTY SURVEY �N of A4,4sS -MORTGAGE LOAN INSPECTION 'LAT- ti NORTHAMPTON, MASSACHUSETTS oo RANDALL Gs E. PREPARED FOR IZER N HANNAH ENGEL ET AL #35032 SCALE: 1"=50' DECEMBER 8, 2021 "tio�R'I- HAROLD L. EATON AND ASSOCIATES, INC. REGISTERED PROFESSIONAL LAND SURVEYORS 235 RUSSELL STREET - HADLEY - MASSACHUSETTS 9/29/22, 12 50 PM image_67182593_2.JPG - 1 Sectional Building Plan - Sldngle5 "N"-•,,,,,,,,,,„\,..cT__„,,...-Pelt , llool Asserrtb13,: Ptancr , `‘...,„,,,, .,.--- let llatrint Pitch- „,,,,, Root Sheathing t:tivering- _ T11145 Ur:del-lay:tient , N',.. I Ce ilni•riizt.._____ ______ ,, „_ Ceiling Joist-4--) N ... Sheathing- ,_ 'Frus.s-Cut Sheet Required eletr Span,to ttio el:pc:site tappori 4' - Or , t Rafter Size- . V i • • }tarter Spacing- 12" 16' 19,2" 12aftor Clear Span- !tatter Species- Siding 1 . , ititlge- -- . Ceiling Joist Size- Ceiling Joist Spacial;-12"16'19.'2"24" , rrisulation , Ceiling Joist Species- ,„': (1-nsulation-R ‘I\ON1 ),i(fr, IVa1111r-anting- 1 it I Into:itit filtlish- i A lie: Nfentilatinn- Interior Finerls ,.- 1 1 NN'ails: . Siding- . Selig- t Insulation-_ kk•ail Ft'airlitlg- ,. iteaders- ____ , , Interior Finish- , Floor: sub-Pio-or •\,\,,,,,A, Finished Fittor- Sub-Fluor-_ loot-Joist Size- Floor Joist Spocitie-12'"16 19.2 24 . , nattatz, -- 1:loor Joist Clear Span-_ _______,_ Clara Sp.t to tite opptite s,:pport Floor Joist Species-__________ :-•i'' :.:, 11 calls Type&Size- _____ _ Ilictailee Front Grade-____,________ Sill Plate „,,,,,,,,,,, ,,., :•, • ,-..,•<•:,.,•-,2, ic)untlation: roundatiori Ali1)3r * ' • ' . ; •• '.. Aticborage-,,__ Sill l'Inte- ___ Pout:dart:an Wall - Wall.1-)Tc.&Size- — —_ _ rCeinforcttrictit fleilifurcenient- _____ Coitercto Floor'rlticktiess- Conctele Floor ; 1 . ••• ' '•, ' ' Vat:or ie Barrr- ..,.. Colo.:till Pad Size- X X Co/train Spatting- Footing lAiititit- Vapor Bturiet/ h... ._.- -.-t ,,/ Footing licight- _ , rooting - --,---,-, ,__,,_. '.- rootiof,,t//eitth Below Grade- . 1* -- ' , .1: 45„-t,e,,1*,,,,42.4•EI.'7,--,,,,,,...,- ' ,/, ' •'"" - " - ---- ,:,,,,,,v,_ 1 https://mad google.com/mail/u/1/#inbox/FMfcgzGqQmQvBSTgxXaNCFKStRcTJwJB9projector=l&messagePartld=0 1 1,1